| Nurowav Tms Pc | |
|
402 Middletown Blvd Ste 212 Langhorne PA 19047-1818 | |
| (850) 324-0775 | |
| Not Available |
| Full Name | Nurowav Tms Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 402 Middletown Blvd Ste 212, Langhorne, Pennsylvania |
| Authorized Official Name and Position | Michael Richard Smith (BUSINESS DIRECTOR) |
| Authorized Official Contact | 8503240775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurowav Tms Pc 402 Middletown Blvd Ste 212 Langhorne PA 19047-1818 Ph: (850) 324-0775 | Nurowav Tms Pc 402 Middletown Blvd Ste 212 Langhorne PA 19047-1818 Ph: (850) 324-0775 |
| NPI Number | 1457054975 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 04/04/2025 |
| Certification Date | 04/04/2025 |
| Medicare PECOS PAC ID | 9133587470 |
|---|---|
| Medicare Enrollment ID | O20230620001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457054975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Joyce Valdez Yablunsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891967485 PECOS PAC ID: 2668541236 Enrollment ID: I20080522000091 |
| Provider Name | Tracy Collins-boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740467331 PECOS PAC ID: 0042387995 Enrollment ID: I20080918000671 |
| Provider Name | Juan Gan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801001136 PECOS PAC ID: 7911226931 Enrollment ID: I20150424000859 |
| Provider Name | Jaime N Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235656695 PECOS PAC ID: 5294000469 Enrollment ID: I20171014000072 |
| Provider Name | Marianys Delgado Alazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275062150 PECOS PAC ID: 4082966460 Enrollment ID: I20191003001581 |
| Provider Name | Jennifer A Demko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932791654 PECOS PAC ID: 8325431711 Enrollment ID: I20220208000164 |
| Provider Name | Susmita Hazarika |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982142550 PECOS PAC ID: 0941585772 Enrollment ID: I20221012000751 |
| Provider Name | Robert Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20230620001150 |
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